NPI 1003803024

Northwest Bec Corp Dba Burley Care Center

Organisation Skilled Nursing Facility Burley, ID

Practice location

Address: 1729 Miller Ave, Burley, ID 83318-2338
Phone: (208) 678-9474
Fax: (208) 678-3727
Mailing address: PO Box 1224, Burley, ID 83318-0830

Authorised official

Name: Richard L. Keddington
Title: Administrator
Phone: (208) 678-9474

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 42 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1003803024
Entity type: Organization
NPI issued: 4 Oct 2005
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.